HomeMy WebLinkAbout2001-P03455 - plumbing ' ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po3ass
Crystal Bay, Minnesota 55323 Permit Type: Fix�res
(612) 249-4600 Date Issued: 1�s�2ooi
SITE ADDRESS: 583 Park La
LONG LAKE,MN 55356
. PID: 06-117-23-41-0047
DESCRIPTION:
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Pi'OpOsed Use: ���iuvu�iai
Permit Class: Plumbing
Permit Type: Fixtures Permit Sub-type(s): Fixtures>3
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPUCANT: PODNAY'S PLUMBING OWNER: GINA RNELSON
1218 SUGAR LANE 583 PARK LA
CHASKA,MN 55318 LONG LAKE MN 55356
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WTTH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS.
ISSLTED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR PLUMBING PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 -
GENERAL L�FORMATION
1. You may apply for plumbing pemuts by mail or in person at the City o�ces.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners residing
in the dwelling.
4. When any new construction or remodeling is involved, a separate buildinQ permit must be obtained.
5. All work must be done in accordance wi[h the State Code requirements. �
6: All work must be inspected and air tested before it is covered. Call 249-4600. 24-hour notice required.
Instructions Complete all items on this application. Compute the permit fee. Sign and date
the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If y�u have
questions, call 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
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JOB SITE: - � , ,'��!� / �1-' Zip: .S � '
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Owner's Nam : • -. - -y -�i.�.�3 ti.s ;v Telephone Number:
Mailing Address: �� :`.�:c � ti� City: �:'%�'��;✓v Zip: _�J_���i'.
Contractor's Name: '��,(�.�,,,-� t -���.�Ji�.,�, Tele�hqne I�umber:
Mailing Addt'ess: /_?%S .�l�Lr/)`r( tiu��%f City: �l l 1'l"�ip: SS 3/�f
PLUMBING FIXTURE SCHEDULE
FIXTURE BSMT 1ST 2ND OTHER FIXTURE BS:�iT 1ST 2ND OTHER
TYPE FL FL TYPE FL FL
Water Closet f i �y Floor Drains
Lavatory J _� Sewer Ejector
Bathtub !` � Laundry Tray
Shower ;'�� Washer
Kitchen Sink Water Heater
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Disposal % Water Softener
Dishwasher � Wet Bar
Sillcocks Misc (list)
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•- PERMIT FEE CALCULATION
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1. 1.25% of Contract Price* or Minimum Fee ($35.00) , 1
x .0125 $ , ' � . ��� . ��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handling (Only mail-in applications) $ 1.50 �
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor,or installation are furnished by the owner,
tenan[ or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry may request the submission of a signed copy of the actual contract.
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** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Miru�esota, and certifies that all �tatements made on this application are complete, true and
conect. .,,.--�
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A licant's Si natu�e: ,..--':' r � � Date: i��' ����6�
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